CLIA lab

CLIA 22D2193504: Medford Surgery Center

Medford, MA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 22D2193504 belongs to Medford Surgery Center in Medford, MA.

Certificate of Waiver, effective September 22, 2026, expires September 21, 2028.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
September 22, 2026
Certificate expiration
September 21, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
September 22, 2020
Facility type
Ambulatory surgery center
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
22D2193504
Lab name
Medford Surgery Center
Address
170 Governor Ave, Medford, MA 02155
Phone
(215) 407-2745
Fax
(508) 365-1443

Annual test volume the lab reported

Waived tests
500

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Medford, MA

Related

Questions

What is the CLIA number for Medford Surgery Center in Medford?

22D2193504, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Medford Surgery Center hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 22D2193504 expire?

The CMS file lists September 21, 2028 as the certificate expiration date; the certificate took effect September 22, 2026.

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